To Members of the NSCAC:
NSCAC MEMBERS PLEASE NOTE THE CHANGE TO CMS POLICY REGARDING VOLUNTARY TERMINATION AND REACTIVATION DATE RECIEVED DECEMBER 3, 2009
From: James.Bossenmeyer@cms.hhs.gov
CC: Barry.Bromberg@cms.hhs.gov
Sent: 12/3/2009 10:24:28 A.M. Eastern Standard Time
Subj: RE: Voluntary Termination
Federal regulations found at 42 CFR 424.57(b) state that a DMEPOS supplier must meet the meet certain conditions in order to be eligible to receive payment a Medicare- covered item, and 42 CFR 424.57(b)(2) states, “The item was furnished on or after the date CMS issued to the supplier a DMEPOS supplier number conveying billing privileges.” As such, the NSC is not able to establish a retrospective billing date for those DMEPOS suppliers who made the business decision to voluntarily terminate their Medicare supplier billing privileges.
Enclosed is the FINAL APPROVED Q & A from the NSC resulting from the August 2009 meeting. There are very important questions and answers that relate to the upcoming deadlines for accreditation and surety bonds. PLEASE NOTE THE ABOVE CHANGE IN CMS POLICY CHANGES THE ANSWER PROVIDED TO US AT THE AUGUST 2009 MEETING. Please share this with all your members. To access this file please click on the link below:
Final Quality Standards Posted:
CMS has posted the final Quality Standards have now been posted to their website. See the link below (if you are unable to click on the link - copy and paste it into your browser).
Definition of Operational
Operational means the provider or supplier has a qualified physical practice location that remains open to the public and properly staffed during posted business hours for the purpose of providing health care related services. Further, the practice location must be prepared to submit valid Medicare claims, and equipped or stocked to furnish these items or services. The Centers for Medicare and Medicaid Services (CMS) does not consider the business to be operational if no one is available at the place of business during routine deliveries or off-site maintenance of supplies or products to Medicare beneficiaries.
